PROHEALTH DENTAL PLLC (NPI# 1073131512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073131512 |
| Entity Type | Organization |
| Organization Name | PROHEALTH DENTAL PLLC |
| Practice Address |
2318 31st St Ste 320 Astoria NY 11105-2765 |
| Mailing Address |
3333 New Hyde Park Rd Ste 310 New Hyde Park NY 11042-1205 |
| Practice Telephone | 7182741515 |
| Mailing Telephone | 5166544400 |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-07-10 |
| Authorized Official Name | NEIL R KARNOFSKY (OWNER/MANAGING PARTNER) |
| Authorized Official Telephone | 5165315500 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | PROHEALTH DENTAL PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 05942434 | 05 |
| Other Name | Type Code |
|---|---|
| Astoria Orthodontia | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275170219 | Prohealth Dental Pllc | Dentist | 2870 Long Beach Road, Oceanside, NY 11572 | 2019-12-10 |
| 1437616075 | Prohealth Dental Pllc | Dentist | 50 Hempstead Ave Ste A, Lynbrook, NY 11563-1640 | 2019-03-01 |
| 1386101921 | Prohealth Dental Pllc | Dentist | 100 Merrick Rd Ste 106e, Rockville Centre, NY 11570-4801 | 2019-03-01 |
| 1477010148 | Prohealth Dental Pllc | Dentist | 35b Gerard St, Huntington, NY 11743-2704 | 2019-02-28 |
| 1003373903 | Prohealth Dental Pllc | Dentist | 5011 Vernon Blvd, Long Island City, NY 11101 | 2019-02-27 |
| 1023575982 | Prohealth Dental Pllc | Dentist | 16345 Crossbay Blvd, Howard Beach, NY 11414-3741 | 2019-02-27 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| 1548807894 | Prohealth Dental Pllc | Dentist | 11 Bay Shore Rd, Bay Shore, NY 11706-3600 | 2019-12-05 |
| 1518509942 | Prohealth Dental Pllc | Dentist | 244 Westchester Ave Ste 400, White Plains, NY 10604-2909 | 2019-10-17 |
| 1427515188 | Prohealth Dental Pllc | Dentist | 2914 Ditmars Blvd, Astoria, NY 11105-2717 | 2019-02-28 |
| Street Address |
2318 31ST ST STE 320 |
| City | ASTORIA |
| State | NY |
| Zip Code | 11105-2765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639640345 | Bridget Mackin | Counselor | 2263 41st Street, Apt 1f, Astoria, NY 11105 | 2018-12-07 |
| 1487154597 | Five Star Assessment Corp | Specialist/Technologist | 2135 47 Street, Suite 2, Astoria, NY 11105 | 2018-02-15 |
| 1154843076 | Stefania Anne Vendome | Physician Assistant | 23-38 28th Street, Astoria, NY 11105 | 2017-07-12 |
| 1164942330 | Kara Lorraine Gerbino | Registered Nurse | 2325 31st St Ste 301, Astoria, NY 11105 | 2017-06-20 |
| 1669908828 | Gerlie H Estores | Licensed Practical Nurse | 2257 23rd Street, 2nd Floor, Astoria, NY 11105 | 2017-05-10 |
| 1558809665 | Tasrina Khan | Behavioral Analyst | 24-13 23rd Ave, Astoria, NY 11105 | 2017-02-09 |
| 1356892988 | Maria Tsoukias | Behavioral Analyst | 21-21 24th Street, Astoria, NY 11105 | 2016-10-19 |
| 1356705602 | Ahmed Y Nasser | Pharmacist | 21 09 A 31st Street, Pharmacare Plus Pharmacy, Astoria, NY 11105 | 2016-04-12 |
| 1194185363 | Sisters of The Good Shepherd | Social Worker | 25-30 21 Avenue, Astoria, NY 11105 | 2016-03-02 |
| 1154741551 | Latifat Okeke | Nurse Practitioner | 49-04 19th Ave, Rikers Island Correctional Facility, Astoria, NY 11105 | 2014-04-24 |
| Find all providers in zip 11105 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215356621 | Patricia Ortiz Diaz | Dentist | 3119 Newtown Ave Ste 200, Astoria, NY 11102-1392 | 2014-04-14 |
| 1043565575 | Queens Orthodontics | Dentist | 3097 Steinway St, 2nd Floor, Astoria, NY 11103-3440 | 2012-07-20 |
| 1891099081 | Robert J. Lopatkin Dds PC | Dentist | 2312 31st St, Astoria, NY 11105-2842 | 2011-01-02 |
| 1962678763 | Trevor Robert Gottfried | Dentist | 2615 23rd Ave, Astoria, NY 11105-3124 | 2008-05-01 |
| 1790970374 | Efstathios Giannoutsos | Dentist | 2161 46th St, Astoria, NY 11105-1333 | 2007-09-07 |
| 1093905788 | Patrick Ray Harrison | Dentist | 762 Niagara Ave, Astoria, OR 97103-5119 | 2007-07-28 |
| 1740336775 | Joseph Anthony Salierno | Dentist | 3045 35th St, Astoria, NY 11103-4701 | 2007-01-25 |
| 1225124282 | Tamar Bryk | Dentist | 3122 Steinway St, Astoria, NY 11103-3909 | 2006-10-05 |
| 1316544943 | All Smiles Orthodontics, Pllc | Dentist | 2312 31st St, Astoria, NY 11105-2768 | 2020-10-06 |
| 1871136242 | Kyung Jin Lee | Dentist | 3097 Steinway St, Astoria, NY 11103-3440 | 2019-10-17 |
| Find all providers in ASTORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.